CIVIL WEEKLY INSPECTION SHEET

Inspector: Week:
From:__________________ To:_________________

01- Weir Site

S.No Items Remarks Yes No N/A

Weir Crest
1 Surface Condition (Spalling, Cracking or Scaling?)
2 Joint Displacement?
3 Seepage (joints ,cracks ,others)
4 Access Road on Crest?
5 Drainage System?
6 Side Wall Barriers?
7 Guard Rail?
8 Corrosion Present?
9 Site Cleaning?
10 Weir Settlement Points?
11 Others?
Weir Downstream Section
12 Surface Condition (Spalling, Cracking or Scaling?)
13 Joint Displacement?
14 Leakage (joints, cracks, others?)
15 Walls (cracks, seepage vegetation)
16 Step Wall Drain Holes (open or chock)
17 Step Walls Convergence Data?
18 Slope Protection (Shot Crete Condition)
19 Slopes Convergence Data?
20 Sinkhole, Animal Burrow on Slopes?
21 Slide, Slough, Scarp on Slopes?
22 Erosion on Slopes?
23 Vegetation Condition on Slopes?
24 Drain Holes in Slopes (Open or Chock)
25 Others?
Weir Upstream Section
26 Spalling, Cracking or Scaling?
27 Joint Displacement?
28 Leakage (joints, cracks, others?)
Modified Pool left bank slopes Protection (Shot Crete
29
Condition?)
30 Drain Holes in Slopes (Open or Chock)
31 Vegetation Condition on Slopes?
32 Gabion Wall Right Bank any Disturbance?
33 Gabion Wall Settlement Data?
34 Step Walls (cracks, seepage vegetation?)
35 Step Wall Drain Holes (open or chock?)
36 Step Wall Settlement Data?
37 Weir Water Mark Condition?
38 Others?
Weir Gallery
39 Spalling, Cracking or Scaling?
40 Leakage (joints, cracks, others?)
41 Stair Condition (broken, clean clear?)
42 Lightning Conditions?
43 Relief Values Status? (Open, leakage, damage).
44 Water Drainage Condition?
45 Weir Monitoring Instruments Operation?
46 Weir Gallery Doors (lock, paint, Welding?)
47 Overall Condition (Plaster, paint, cleaning?)
48 Others?
Spillways, Piers , Side walls
49 Surface Condition (Spalling, Cracking or Scaling?)
50 Joint Displacement?
51 Leakage (joints, cracks, others?)
52 Exposed Reinforcement?
53 Corrosion Present?
54 Wall Displacement?
55 Others?
Hoist Rooms, Guard Rooms
56 Internal Wall Condition (cracks, plaster, paint?)
57 External Wall Condition (cracks, plaster, paint?)
58 Roof Condition (seepage, damage, cracks?)
59 Doors condition (lock, paint, welding?)
60 Others?
Control Room
61 External Aluminum Panel Condition?
62 Cracks, Seepage?
Internal Wall, Roof and Floor Condition (cracks,
63
paint, plasters seepage?)
64 Floor Fire Paint Condition (cracks, dirt?)
65 Chatter Plates (damage, paint?)
66 Doors (lock, paint welding?)
67 Windows (lock, seepage?)
68 Water Drainage System (open, chock?).
69 Other?
Power Intake

70 Surface Condition (Spalling, Cracking or Scaling?)

71 Joint Displacement?
72 Seepage (joints, cracks, others?)
73 Drainage System?
74 Drainage Pipe Condition?
75 Guard Rail?
76 Stair Condition?
77 Site Cleaning?
78 Settlement?
79 Others?
Bypass Inlet
80 Surface Condition (Spalling, Cracking or Scaling?)
81 Joint Displacement?
82 Seepage (joints, cracks, others?)
83 Drainage System?
84 Side Barriers?
86 Guard Rail?
87 Site Cleaning?
88 Settlement?
89 Others?
Bypass Outlet
90 Surface Condition (Spalling, Cracking or Scaling?)
91 Joint Displacement?
92 Seepage (joints, cracks, others?)
93 Drainage System?
94 Side Barriers?
95 Guard Rail?
96 Site Cleaning?
97 Settlement?
98 Others?
Slopes
99 General Slope Protection (shot Crete Condition?)
100 Cracks, Settlement, Slide?
101 Reinforcement Exposed?
102 Wet Areas, Seepages?
103 Drain Hole (open, chock?)
104 Drain Ditches (open, chock?)
105 Vegetation, Animal Borrow?
106 Slope Displacement?
107 Convergence Data?
108 Access Road (cracks, settlement)
109 Stone pitching (cracks, movement?)
110 Unusual Movement?
111 Others?
Step Walls
112 Surface Condition (Spalling, Cracking or Scaling?)
113 Concrete Joint? ( Cracks, settlement)
114 Reinforcement Exposed?
115 Leakage (Cracks, Joints, Others?)
116 Drain Hole (open ,chock)
117 Excessive Vegetation or Tress?
118 Any Visual Displacement?
119 Convergence Data?
120 Others?
Modified Pool And Check Dams
121 Gabion
122 Check dams
123 Slopes
124 Cleaning
125 Others?
Additional Comments (Refer to item number if applicable).

No. Description

Evidence
02- Powerhouse Site

S.No Items Remarks Yes No N/A

Internal Structures
1 Spalling, Cracking, Scaling?
2 Joints Displacement?
3 Joint Material lost?
4 Seepage? (cracks , joints, others )
5 Exposed Reinforcement?
6 Leakage? (joint, crack, other)
7 Wall Plaster Condition?
8 Beam Visual Condition? (crack, displacement, plaster, paint)
9 Colum Condition? (crack, displacement, plaster, paint)
10 Roof Condition? (crack, sealing, plaster, paint)
11 Floor Epoxy Condition? (damage, dirt)
12 Stairs Guardrail (paint, welding, dirt)
13 Doors, Window, Ventilators? (damage, locks, paint)
14 General Condition (cleaning ,paint, plasters)
15 Others?
External Structures
16 Over all Powerhouse Paint?
17 Crack in Dryvit Grapy?
18 Seepage or Leakage? (roof, others)
19 Drainage Pipe Condition? (open or chock)
20 Fence Condition?
21 Ditch Condition? ( open or chock)
22 Door?
23 Window?
24 Others?
25 Access Road?
Tail Race Structure
26 Spalling, Cracking, Scaling?
27 Side Concrete Wall Condition?
28 Level Meter Paint Condition?
29 Crack in Concrete Joints?
30 Walls Displacement?
31 Debris or Vegetation?
32 Site Areas Condition?
33 Leakage? ( Cracks, Joints, Others)
34 General Condition? (Cleaning, Finishing)
35 Others?
Slopes
36 General Slope Protection (shot Crete Condition?)
37 Cracks, Settlement, Slide?
38 Reinforcement Exposed?
39 Wet Areas, Seepages?
40 Drain Hole (open, chock?)
41 Drain Ditches (open, chock?)
42 Vegetation, Animal Borrow?
43 Slope Displacement?
44 Convergence Data?
45 Access Road (cracks, settlement?)
46 Stone pitching (cracks, movement?)
47 Unusual Movement?
48 Others?
Step Walls
49 Surface Condition (Spalling, Cracking or Scaling?)
50 Concrete Joint? ( Cracks, settlement)
51 Reinforcement Exposed?
52 Leakage (Cracks, Joints, Others?)
53 Drain Hole (open, chock?)
54 Excessive Vegetation or Tress?
55 Any Visual Displacement?
56 Convergence Data?
57 Others?
Additional Comments (Refer to item number if applicable).
No. Description

Evidence
 CIVIL QUARTERLY INSPECTION SHEET

Building Description: ___________________ Inspector: ____________________

Building Location: ___________________ Date: ____________________

1. Building Inspection Checklist

Site Work
Good Fair Poor Comment
Replacement
Condition Major work
needed -
Sr. No Items Subdivision generally okay- needed to
generally not
minor work correct
capable of
may be needed deficiencies
repair
1 Backfill
2 Surface drainage
3 Manholes
4 Ditches adjacent to building
5 Trees and vegetation on site, including hazard trees
6 General site maintenance
7 Parking area if applicable
8 Fences
9 Poles
10 Railings
11 Building Accessibility (From Parking area to building.)
12 Pathway & Sidewalks (width and ADA)
13 Curbs
14 Signs
15 Other items (list)
Architectural Work
1 Foundation
2 Walkways
3 Exterior slab
4 Interior slab
5 Walls
6 Crawl Space
7 Siding
8 Roof
9 Columns/Supports
10 Interior walls
11 Window casing
12 Window (glass, screen)
13 Door hardware
14 Door jam
15 Doors
16 Sidelights
17 Interior wall finish
18 Porches and covered walkways
19 Exterior wall finishes
20 Insulation
21 Roofing
22 Fascia
23 Flashing
24 Roof drainage
25 Partitions and interior doors
26 Tile and/or floor finishes
27 Masonry (stone, brick)
28 Ceiling
29 Vents
30 Skylights
31 Basement for composting unit
32 Stairs/Ladders/Handrails
33 Attic access
34 Signs
35 Other items (list)
Plumbing Works

1 Water supply
2 Faucets
3 Sinks
4 Fixtures (Note type)
5 Toilet Stool
6 Hangers
7 Composting Unit
8 Fault (crack, leaks, capacity & material)
9 SST Standards
10 Toilet paper dispenser
11 Floor drains
12 Water tank cleaning
13 Other items (list)
Electrical Works
1 Electrical service
2 Fixtures
3 Fire Fighting System
4 Batteries
5 Switches
6 Sensors
7 Breaker panel/fuse boxes/disconnects
8 Grounding
9 Roof ceiling lights
10 Wall Lights
9 Other items (list)

Evidence Pictures
STANDARD INSPECTION FORM
1. Facility Inspection Data Date:
Name:
Location:
Inspector:
2. Component Description
01 Site Works
02 Architectural Works
03 Plumbing Works
04 Electrical Works
3. Component Repair Evaluation
Sr. No. Component Description Priority
Site Works
1
2
Architectural Work
1
2
Plumbing Works
1
2
Electrical Works
1
2
 CIVIL ANNUAL INSPECTION SHEET

1. Waterway Tunnel
S.No Description Yes No N/A Remarks
Headrace Tunnel
A Cracks
B Spalling or scaling
C Exposed reinforcement?
D Construction Joints Opening?
E Any Leakage?
F Any Displacement?
G Abrasion?
H Cavity?
I Surface Irregularities?
J Any Other Observation?
Surge Shaft & Chamber
A Cracks
B Spalling, cracking, or scaling
C Exposed reinforcement?
D Construction Joints Opening?
E Any Leakage?
F Any Displacement?
G Abrasion?
H Cavity?
I Surface Irregularities?
J Any Other Observation?
Link Tunnel
A Cracks
B Spalling, or scaling
C Exposed reinforcement?
D Construction Joints Opening?
E Any Leakage?
F Any Displacement?
G Abrasion?
H Cavity?
I Surface Irregularities?
J Any Other Observation?
Vertical Pressure Tunnel
A Cracks
B Spalling, or scaling
C Exposed reinforcement?
D Construction Joints Opening?
E Any Leakage?
F Any Displacement?
G Abrasion?
H Cavity?
I Surface Irregularities?
J Any Other Observation?
Horizontal Pressure Tunnel
A Cracks
B Spalling, or scaling
C Exposed reinforcement?
D Construction Joints Opening?
E Any Leakage?
F Any Displacement?
G Abrasion?
H Cavity?
I Surface Irregularities?
J Any Other Observation?

Remarks:
2. Bypass Tunnel
S.No Description Yes No N/A Remarks
Inlet Portal
A Cracks
B Spalling or scaling
C Exposed reinforcement?
D Construction Joints Opening?
E Any Leakage?
F Any Displacement?
G Abrasion?
H Cavity?
I Surface Irregularities?
J Any Other Observation?
Main Tunnel
A Cracks
B Spalling, cracking, or scaling
C Exposed reinforcement?
D Construction Joints Opening?
E Any Leakage?
F Any Displacement?
G Abrasion?
H Cavity?
I Surface Irregularities?
J Any Other Observation?
Outlet Portal and Chute
A Cracks
B Spalling, or scaling
C Exposed reinforcement?
D Construction Joints Opening?
E Any Leakage?
F Any Displacement?
G Abrasion?
H Cavity?
I Surface Irregularities?
J Any Other Observation?

Remarks:
3. Dam Inspection Checklist
Name of Dam:
Address: Hazard Classification:
City: Inspected By:
Legal Location: Date of Inspection:
Latitude: Estimated Reservoir Level:
Longitude
Note: Latitude-Longitude should be measured using a GPS and taken on the crest of the dam at the center.

1Condition
(Satisfactory-
Sr. No Item Yes No N/A Fair-Poor-
Remarks
Unsatisfactory)

General Conditions of Weir

A Alterations to the dam?
B Development in downstream floodplain?
C Is water level changed from normal?
D Development around reservoir?
E Recent high water marks? Elevation
General Conditions of Weir
A Erosion, slides, or depressions?
B Trees or excessive vegetation?
C Animal burrows or holes?
D Evidence of livestock on dam?
E Cracks, settlement, or bulges?
F Evidence of slides or scarps?
G Adequate and sound slope protection (rip-rap)?
Crest of Dam
A Longitudinal or transverse cracking?
B Trees or excessive vegetation?
C Erosion or ruts?
D Low areas or depressions?
E Road on crest?
Downstream of Dam
A Erosion, slides, or depressions?
B Trees or excessive vegetation?
C Animal burrows or holes?
E Cracks, settlement, or bulges?
Estimated gpm
F Drains or wells flowing?
Clear/cloudy?
Estimated gpm
G Seepage or boils?
Clear/cloudy?
Abutment Contacts
A Erosion, cracks, or slides?
Estimated gpm
B Seepage or boils?
Clear/cloudy?
Concrete Spillway
A Spalling, cracking, or scaling?
B Exposed reinforcement or deterioration?
C Joints displaced or offset?
D Joint material lost?
Estimated gpm
E Leakage (joints, cracks, other)?
Clear/cloudy?
F Wall displaced?
G Dissipater deteriorating?
H Dissipaters clean of debris or vegetation?
I Erosion at toe of spillway?
J Spillway undercutting?
Stilling Basin
A Spalling, cracking, or scaling?
B Exposed reinforcement?
C Joints displaced or offset?
D Joint material lost?
Estimated gpm
E Joints leak?
Clear/cloudy?
F Rock adequate?
G Excessive vegetation or debris in basin?
H Dissipater deteriorating?
I Dissipaters clean of debris or vegetation?
Gates
A Floodgates broken or bent?
B Floodgates eroded or rusted?
C Floodgates operational?
D Floodgates leaking? Estimated gpm
Instruments
A Structure instrumented?
B Monitoring performed?
C Instruments operational?
Development Below Dam

(Low or Significant Hazard Dams)

Are there homes, businesses, or habitable structures
A
located down-stream of the dam?
Emergency Action Plan

(High Hazard Potential Dams Only)

A Emergency action plan?
B Emergency services contacts up-to-date?
C Dam breach inundation map?
Remarks:
Name of Engineer:
Date:
Telephone Number:
Signature:
____________________________

1Condition: Please rate the condition of Sections 1 – 11 on inspection form either: Satisfactory, Fair, Poor or Unsatisfactory.
Satisfactory - No existing or potential dam safety deficiencies are recognized. Acceptable performance is expected under all loading condit ions (static,
hydrologic, seismic) in accordance with the applicable regulatory criteria or tolerable risk guidelines.
Fair - No existing dam safety deficiencies are recognized for normal loading conditions. Rare or extreme hydrologic and/or seismic events may result in a dam
safety deficiency. Risk may be in the range to take further action.
Poor - A dam safety deficiency is recognized for loading conditions which may realistically occur. Remedial action is necessary. Poor may also be used when
uncertainties exist as to critical analysis parameters which identify a potential dam safety deficiency. Further investigations and studies are necessary.
Unsatisfactory - A dam safety deficiency is recognized that requires immediate or emergency remedial action for problem resolution.